Pilot Study of Atorvastatin and Anakinra in Children With Coronary Artery Abnormalities Secondary to Kawasaki Disease
Completed · Early Phase 1
Conditions studied: Kawasaki Disease
In brief
Kawasaki disease (KD) is the leading cause of acquired heart disease in children in the developed world. Despite available treatment, 25% of children in San Diego County appropriately treated for KD develop coronary artery abnormalities that could lead to complications later in life, including heart attack. Although we can identify children with KD that have these coronary artery abnormalities, there is no approved additional treatment to decrease coronary artery inflammation and arrest or prevent damage to the coronary arteries. Statins, a class of drugs that is known for lowering cholesterol, have also been shown to decrease inflammation in general as well as at the level of the vessel wall. Anakinra, a therapy that blocks the high levels of interleukin 1 (IL1) that leads to inflammation during acute KD, has been shown in the KD mouse model to prevent the development of coronary artery damage. Both of these therapies have been demonstrated to be safe and well-tolerated in KD patients. Therefore, we propose to study the effects of combination therapy with atorvastatin and anakinra in children with acute KD and early coronary artery abnormalities.
Key facts
- Study ID
- NCT04747847
- Run by
- University of California, San Diego
- People needed
- 5
- Starts
- 2019-06-22
- Expected to finish
- 2022-08-17
- Last updated by the study team
- 2026-02-25
Who can join
Age: 1 and older, up to 17. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Acute Kawasaki disease with a Z score of 3 or larger of the LAD or RCA
You may not qualify if…
- Taking a CYP3A4 metabolized drug (such as cyclosporine)
Where it is running
- University of California San Diego — San Diego, California, United States
Full record on ClinicalTrials.gov
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